Modular spacer device for the joints of the human body
A modular spacer device for a knee joint includes a tibial element adapted to be constrained to an end of the tibial bone and a femoral element adapted to be constrained to an end of the femoral bone and to be articulated on the tibial element. The tibial element has first and second surfaces opposite to each other, and the femoral element has first surface and second surfaces opposite to each other. The first surface of the femoral element is convex and laterally has a curved, ammonite-shaped contour with a curvature radius that increases starting from a rear section with a curvature radius R 1 , a first central section having a curvature radius R 2 , a second central section having a curvature radius R 3 , and a front section having a curvature radius R 4 , with R 1 ≤R 2 ≤R 3 ≤R 4.
1. A modular spacer device ( 1 ) for a knee joint, comprising:
a tibial element ( 2 ) adapted to be constrained to a tibial bone, at one end of said tibial bone facing the knee joint, and
a femoral element ( 3 ), adapted to be constrained to a femoral bone, at one end of a femur facing the knee joint, and articulated onto said tibial element ( 2 ),
wherein said tibial element ( 2 ) comprises a first surface ( 21 ) facing said femoral element ( 3 ) and a second surface ( 22 ) opposite thereto, and said femoral element ( 3 ) comprises a first surface ( 31 ) facing said tibial element ( 3 ) and a second surface ( 32 ) opposite thereto,
wherein said femoral element ( 3 ) has a “C”-shaped plan configuration,
wherein each free end of the “C”-shaped plan configuration delimits a rear lobe ( 33 , 34 ) of said femoral element ( 3 ),
wherein said first surface ( 31 ) of said femoral element ( 3 ) is convex and has a curved, ammonite shaped contour with a curvature radius that increases along an entire lateral profile of the first surface that begins at a rear section (PS) having a first curvature radius (R 1 ), and continues along a first central section (FCS) contiguous to the rear section and having a second curvature radius (R 2 ), along a second central section (SCS) contiguous to the first central section and having a third curvature radius (R 3 ), and along a front section (FS) of said femoral element ( 3 ) contiguous to the second central section and having a fourth curvature radius (R 4 ), and
wherein said front section (FS) of said first surface ( 31 ) of said femoral element ( 3 ) presents frontally a convex lower contour (LP) extending along an entire frontal width of said femoral element and having a fifth curvature radius (R 5 ) and delimits a central groove ( 35 ) extending in an anterior-posterior direction along an entirety of said femoral element ( 3 ).
2. The modular spacer device according to claim 1 , wherein said front section (FS) of said first surface ( 31 ) of said femoral element ( 3 ) frontally has a curved upper contour ( 36 ) with a bell-shaped pattern or a pattern having a lateral inclination.
3. The modular spacer device according to claim 1 , wherein said second surface ( 32 ) of said femoral element ( 3 ) is concave and laterally presents a curved U-shaped contour, comprising a rear portion (PP) and a front portion (AP) parallel to each other, a base portion (BP) orthogonal to said rear portion (PP) and to said front portion (AP), a rear connecting portion (PCP) between said rear portion (PP) and said base portion (BP), and a front connecting portion (ACP), between said front portion (AP) and said base portion (BP).
4. The modular spacer device according to claim 3 , wherein one or both of said rear connecting portion (PCP) and said front connecting portion (ACP) are curved or have a rectilinear configuration and are each disposed obliquely between the respective portions (BP, PP and/or BP, AP) to which they are respectively connected.
5. The modular spacer device according to claim 3 , wherein each of the rear lobes ( 33 , 34 ) of said femoral element ( 3 ) is delimited between said rear portion (PP) and a rear connecting portion (PCP) of said second surface ( 32 ), and said rear section (PS) has the first curvature radius (R 1 ) and the first central section (FCS) has the second curvature radius (R 2 ) of said first surface ( 31 ) of said femoral element ( 3 ).
6. The modular spacer device according to claim 3 , wherein said femoral element ( 3 ) includes a central rib ( 37 ) having anteroposterior development at said base portion (BP) and said front connecting portion (ACP) on said second surface ( 32 ) and at said central groove ( 35 ) of said first surface ( 31 ).
7. The modular spacer device according to claim 1 , wherein said tibial element ( 2 ) presents a reversed “U” plan configuration, wherein a base portion of the “U” corresponds to a front section ( 23 ) of said tibial element ( 2 ) and is a rectilinear portion.
8. The modular spacer device according to claim 1 , wherein said first surface ( 21 ) of said tibial element ( 2 ) is concave and laterally has a curved contour matching a development of said second central section (SCS) having the third curvature radius (R 3 ) of said femoral element ( 3 ).
9. The modular spacer device according to claim 1 , wherein said first surface ( 21 ) of said tibial element ( 2 ) is concave and frontally has a concave upper contour ( 24 ) corresponding to said convex lower contour (LP) having the fifth curvature radius (R 5 ) of said femoral element ( 3 ), or wherein said first surface ( 21 ) of said tibial element ( 2 ) is concave and frontally presents a flat upper contour ( 24 ) designed to articulate with said convex lower contour (LP) with the fifth curvature radius (R 5 ) of said femoral element ( 3 ), or wherein said first surface ( 21 ) of said tibial element ( 2 ) is concave and frontally presents an upper contour ( 24 ) having a flat medial or lateral portion and a concave lateral or medial portion, and wherein said flat upper contour ( 24 ) is designed to articulate with said convex lower contour (LP) with the fifth curvature radius (R 5 ) of said femoral element ( 3 ).
10. The modular spacer device according to claim 1 , wherein said first surface ( 21 ) of said tibial element ( 2 ) delimits a central rib ( 25 ) extending in an anteroposterior direction into said tibial element ( 2 ) and configured such that said central rib is insertable to size, with a reduced clearance, into said central groove ( 35 ) delimited into said femoral element ( 3 ), said central rib ( 25 ) being concave in the anteroposterior direction.
11. The modular spacer device according to claim 10 , wherein said central rib ( 25 ) projects upward from a rest of the first surface ( 21 ) for 0.8-1.2 cm, up to 2 cm, or more than 2 cm.
12. The modular spacer device according to claim 10 , wherein said second surface ( 22 ) of said tibial element ( 2 ) is flat and presents, in a central region corresponding to the central rib ( 25 ) of the first surface ( 21 ) an engagement element ( 26 ) adapted to engage said tibial element ( 2 ) to a patient bone end.
13. The modular spacer device according to claim 12 , further comprising at least one stem ( 4 ) engageable with said tibial element ( 2 ) at said engagement element ( 26 ).
14. The modular spacer device according to claim 13 , wherein said at least one stem ( 4 ) has a first end ( 41 ) adapted to be coupled by shape coupling with said at least one engagement element ( 26 ), and further has a longitudinal development tapered toward one end ( 42 ) opposed to said first end ( 41 ).
15. The modular spacer device according to claim 14 , wherein said femoral element ( 3 ) and said tibial element ( 2 ) have different plan extensions, depending on formats or sizes, but always keep constant, independently from their format or size, a dimension and a configuration of said central groove ( 35 ) and said central rib ( 25 ), or said third and fifth curvature radii (R 3 ) and (R 5 ), thereby resulting connectable with each other, at the respective first surfaces ( 31 , 21 ), independently from the respective plan extensions.
16. The modular spacer device according to claim 15 , wherein said first surface ( 31 ) of said femoral element ( 3 ) is in revolving and partially translatable contact with said first surface ( 21 ) of said tibial element ( 2 ).
17. The modular spacer device according to claim 15 , wherein said tibial element ( 2 ) and said stem ( 4 ) are adapted to be coupled with each other at the engagement element ( 26 ) of said tibial element, independently from the plan extension of said tibial element ( 2 ) and a cross-section of said stem ( 4 ).
18. The modular spacer device according to claim 14 , wherein said tibial element ( 2 ), said femoral element ( 3 ) and, if provided, said stem ( 4 ) are preformed and made of a biologically compatible material.
19. The modular spacer device according to claim 18 , wherein said biologically compatible material is porous.
20. The modular spacer device according to claim 19 , wherein said biologically compatible material comprises at least one of the following materials: plastic materials, or non-polymeric materials, ceramics, metals, metal alloys, organometallic compounds, or a combination thereof.
21. The modular spacer device according to claim 19 , wherein said porous biologically compatible material is adapted to be pre-impregnated with pharmaceutical and therapeutic products.
22. The modular spacer device ( 1 ) according to claim 19 , wherein said porous biologically compatible material is originally devoid of medical substances and is designed to be impregnated with pharmaceutical and therapeutic products before implantation.
23. The modular spacer device according to claim 1 , wherein at least one bas-relief area ( 38 and/or 28 ) is defined in said second surface ( 32 ) of one or both of said femoral element ( 3 ) or said second surface ( 22 ) of said tibial element ( 2 ), and has a plan cross-section larger than a respective depth.